[Bronchoplasty and pulmonary arterioplasty with lobectomy in the treatment of central type lung carcinoma].

From 1982 to 1989, bronchoplasty or segmental bronchoplasty and pulmonary arterioplasty in combination with lobectomy and segmentectomy were performed for 9 patients with central type lung carcinoma. Lobectomy with sleeve excision of the bronchus and the pulmonary artery was done in 3 patients, of which one had bilobectomy plus one segmentectomy with segmental bronchoplasty, lobectomy with wedge excision of the bronchus and the pulmonary artery in 2, lobectomy with wedge excision of the bronchus and sleeve excision of the pulmonary artery in 2, lobectomy with sleeve excision of the bronchus and wedge excision of the pulmonary artery in 1, and regular lobectomy with sleeve excision of the pulmonary artery in 1. Histological examination showed that 5 patients had squamous cell carcinoma, 2 adenocarcinoma, 1 small cell carcinoma, and 1 alveolar cell carcinoma. The postoperative course was uneventful. Follow-up showed that 1 patient lived for more than 5 years, 2 more than 2 years, 1 more than 1 year, and 5 less than 1 year.